Sildenafil 25mg - 4 Tablets
Doses up to a maximum of 80 mg orally 3 times a day are supported by delayed clinical worsening with long-term use in clinical studies despite a lack of observed dose-response improvement in exercise ability in short-term clinical studies. In adults 65 years or older, use caution with dose selection due to a higher incidence of compromised renal, cardiac, and/or hepatic function, and of concomitant disease or drug therapy. Use: For the treatment of PAH (WHO Group I) to improve exercise ability and delay clinical worsening TABLETS (Viagra) Initial dose: 25 mg orally once a day, as needed, about 1 hour prior to sexual activity Maintenance dose: May titrate up to 100 mg orally once a day, based on effectiveness and toleration.
| Precaution | Concern | Advice |
|---|---|---|
| Heart Conditions | Risk of cardiac events | Medical evaluation recommended |
| Eye Disorders | Rare visual side effects | Discontinue medication if occur |
| Liver or Kidney Impairment | Altered drug metabolism | Dose adjustment needed |
| Alcohol consumption | Increased side effects | Limit alcohol intake |
Maximum dose: 100 mg orally once a day Comments: This drug may be administered anywhere from 30 minutes to 4 hours before sexual activity. A reduced starting dose is recommended in older adults due to higher systemic exposure as compared to younger adults. TABLETS (Revatio)/ORAL SUSPENSION (Revatio) 1 to less than 18 years: Weight 20 kg or less: 10 mg orally 3 times a day Weight greater than 20 kg to 45 kg: 20 mg orally 3 times a day Weight greater than 45 kg: 20 mg orally 3 times a day; dose may be titrated up to a maximum of 40 mg orally 3 times a day, if required, based on symptoms and tolerability Use: For the treatment of pulmonary arterial hypertension (WHO Group I) to improve exercise ability and, in pediatric patients too young to perform standard exercise testing, pulmonary hemodynamics thought to underlie improvements in exercise ERECTILE DYSFUNCTION: Mild to Moderate Renal Dysfunction (CrCl 30 to 80 mL/min): No adjustment recommended Severe Renal Dysfunction (CrCl less than 30 mL/min): Consider a starting dose of 25 mg orally once a day, about 1 hour prior to sexual activity Mild, Moderate, or Severe Renal Dysfunction (CrCl 80 to less than 30 mL/min): No adjustment recommended ERECTILE DYSFUNCTION: Mild, Moderate, or Severe Liver Dysfunction (Child-Pugh A, B, or C): Consider a starting dose of 25 mg orally once a day, about 1 hour prior to sexual activity. Mild or Moderate Liver Dysfunction (Child-Pugh A or B): No adjustment recommended Severe Liver Dysfunction (Child-Pugh C): Data not available in this population.
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The liquid suspension is premixed and may contain flavoring. Shake well before oral administration and use a calibrated measuring device for accurate dosing. IV: Administer as an IV bolus injection; the supplied product is ready for use. Tablets/IV solution: Store at 20C to 25C (68F to 77F); excursions permitted to 15C to 30C (59F to 86F). Oral suspension (liquid): Store at 20C to 25C (68F to 77F); excursions permitted to 15C to 30C (59F sildenafil citrate sublingual tablets 100mg to 86F).
Your expert team
Oral suspension (powder): Store below 30C (86F) in the original package in order to protect from moisture. After reconstitution, store below 30C (86F) or in refrigerator at 2C to 8C (36F to 46F); do not freeze. Oral suspension (powder): Reconstitute with water (total 90 mL) in separate additions; shake vigorously after each addition. Do not mix with other medications or flavoring; insert adaptor into bottle neck. Consult the manufacturer product information for detailed instructions. Initiate treatment with 25 mg orally once a day, as needed, about 1 hour prior to sexual activity Patients should be stable on alpha blocker therapy prior initiating treatment with this drug. Administration with CYP450 3A4 Inhibitors (e.g., ketoconazole, itraconazole, saquinavir) or Erythromycin: Consider a starting dose of 25 orally once a day, as needed, about 1 hour prior to sexual activity.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Kamagra Polo | 100mg | 272 + 12 Pills | 622.94€ 593.28€ | |
| Kamagra Oral Jelly | 100mg | 21 Sachets | 95.92€ 91.35€ | |
| Viagra Generic | 50mg | 120 + 6 Pills | 129.64€ 123.47€ | |
| Viagra Generic | 200mg | 360 + 10 Pills | 481.98€ 459.03€ | |
| Viagra Generic | 100mg | 90 + 6 Pills | 129.02€ 122.88€ | |
| Kamagra | 100mg | 360 + 6 Pills | 839.95€ 799.95€ | |
| Viagra Generic | 150mg | 90 + 6 Pills | 147.18€ 140.17€ | |
| Viagra Generic | 150mg | 270 + 10 Pills | 326.61€ 311.06€ | |
| Viagra Generic | 200mg | 120 + 8 Pills | 204.80€ 195.05€ | |
| Kamagra Soft Tabs | 100mg | 32 Pills | 120.11€ 114.39€ |
Recommended dose: 25 mg orally, as needed, about 1 hour prior to sexual activity Maximum dose: 25 mg orally within a 48 hour period Known hypersensitivity to either the active component or to any of the ingredients; hypersensitivity reactions have been reported, including rash and urticaria In patients who are using a guanylate cyclase (GC) stimulators, such as riociguat; phosphodiesterase type 5 inhibitors (PDE5), including this drug, may potentiate the hypotensive effects of GC stimulators. In patients who are using nitric oxide donors such as organic nitrates or organic nitrites in any form either regularly and/or intermittently; this drug has been shown to potentiate the hypotensive effects of nitrates based on its mechanism of action After patients have taken this drug for ED, it is unknown when women sildenafil nitrates, if necessary, can be safely administered. Although plasma levels of this drug at 24 hours post-dose are much lower than at peak concentration, it is unknown whether nitrates can be safely co-administered at this time point. Concomitant use of organic nitrates in any form, either regularly or intermittently, because of the greater risk of hypotension Concomitant use of riociguat, a guanylate cyclase stimulator; PDE5 inhibitors, including this drug, may potentiate the hypotensive effects of riociguat. Known hypersensitivity to either the active component or to any of the ingredients of the tablet, injection, or oral suspension; hypersensitivity reactions have been reported, including anaphylactic reaction, anaphylactic shock, and anaphylactoid reaction Safety and efficacy have not been established in patients with ED younger than 18 years. Safety and efficacy have not been established in patients with PAH younger than 1 year. Due to high plasma protein binding and poor elimination in urine, removal via hemodialysis is unlikely. Tablets: Administer orally with or without food. Reconstitute product before oral administration, and shake well before use. An oral syringe is recommended for dose measurement (and delivery). Use within 60 days after reconstitution; discard any remainder after expiration. The liquid suspension is premixed and may contain flavoring. Shake well before oral administration and use a calibrated measuring device for accurate dosing.
What special dietary instructions should I follow?
The 50mg Sildenafil Dose
IV: Administer as an IV bolus injection; the supplied product is ready for use. Tablets/IV solution: Store at 20C to 25C (68F to 77F); excursions permitted to 15C to 30C (59F to 86F). Oral suspension (liquid): Store at 20C to 25C (68F to 77F); excursions permitted to 15C to 30C (59F sildenafil citrate sublingual tablets 100mg to 86F).
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Most patients who use Viagra 100mg tablets will not experience any side effects, but some of the very common (more than 1 in 10) and common (less than 1 in 100) include: This list is not exhaustive and for less common side effects please refer to the patient information leaflet. At Travelpharm we offer FREE delivery on most orders over £35, we aim to provide the best price and service at all times.
Your questions answered
Oral suspension (powder): Store below 30C (86F) in the original package in order to protect from moisture.
- Sildenafil 25mg can be used for pulmonary arterial hypertension.
- It works by relaxing blood vessels in the lungs.
- Not suitable for everyone; discuss health conditions with your doctor.
- Store tablets in a cool, dry place away from children.
- Do not take more than one dose within 24 hours.
- Report any persistent side effects to your healthcare provider.
After reconstitution, store below 30C (86F) or in refrigerator at 2C to 8C (36F to 46F); do not freeze. Oral suspension (powder): Reconstitute with water (total 90 mL) in separate additions; shake vigorously after each addition. Do not mix with other medications or flavoring; insert adaptor into bottle neck. Consult the manufacturer product information for detailed instructions.
- Sildenafil 25mg may be less potent than higher doses but still effective.
- Confirm your dosage with your healthcare provider regularly.
- Do not use sildenafil if you are allergic to it.
- Check for contraindications such as severe liver or kidney disease.
- Alcohol may diminish the medication’s effectiveness.
- Follow prescribed timing for best results and safety.
Cardiovascular: Cardiac status/risk factors (prior to initiation); blood pressure (periodically during treatment in patients with PAH on concomitant anti-hypertensive agents) Drug Interactions: For concomitant use of medications that may be contraindicated or for dose adjustment (at baseline and during treatment) Ocular: NAION risk factors (prior to initiation) Read the US FDA-approved patient labeling (Patient Information and/or Instructions for Use).
8.2 Lactation
In patients who are using nitric oxide donors such as organic nitrates or organic nitrites in any form either regularly and/or intermittently; this drug has been shown to potentiate the hypotensive effects of nitrates based on its mechanism of action After patients have taken this drug for ED, it is unknown when women sildenafil nitrates, if necessary, can be safely administered. Although plasma levels of this drug at 24 hours post-dose are much lower than at peak concentration, it is unknown whether nitrates can be safely co-administered at this time point. Concomitant use of organic nitrates in any form, either regularly or intermittently, because of the greater risk of hypotension Concomitant use of riociguat, a guanylate cyclase stimulator; PDE5 inhibitors, including this drug, may potentiate the hypotensive effects of riociguat. Known hypersensitivity to either the active component or to any of the ingredients of the tablet, injection, or oral suspension; hypersensitivity reactions have been reported, including anaphylactic reaction, anaphylactic shock, and anaphylactoid reaction Safety and efficacy have not been established in patients with ED younger than 18 years. Safety and efficacy have not been established in patients with PAH younger than 1 year.
Pulmonary hypertension
Due to high plasma protein binding and poor elimination in urine, removal via hemodialysis is unlikely. Tablets: Administer orally with or without food. Reconstitute product before oral administration, and shake well before use. An oral syringe is recommended for dose measurement (and delivery). Use within 60 days after reconstitution; discard any remainder after expiration. Tell your healthcare provider about all of the medicines you (or your child take). Regular and/or intermittent use of nitric oxide donors (e.g., organic nitrates or nitrites) in any form Other PDE5 inhibitors or products containing sildenafil Seek immediate medical attention in the event of: Sudden loss of vision in one or both eyes Sudden decrease or loss of hearing; may be accompanied by tinnitus and dizziness An erection that persists longer than 4 hours.
Who is Viagra suitable for?
Doses up to a maximum of 80 mg orally 3 times a day are supported by delayed clinical worsening with long-term use in clinical studies despite a lack of observed dose-response improvement in exercise ability in short-term clinical studies. In adults 65 years or older, use caution with dose selection due to a higher incidence of compromised renal, cardiac, and/or hepatic function, and of concomitant disease or drug therapy. Use: For the treatment of PAH (WHO Group I) to improve exercise ability and delay clinical worsening TABLETS (Viagra) Initial dose: 25 mg orally once a day, as needed, about 1 hour prior to sexual activity Maintenance dose: May titrate up to 100 mg orally once a day, based on effectiveness and toleration. Maximum dose: 100 mg orally once a day Comments: This drug may be administered anywhere from 30 minutes to 4 hours before sexual activity. A reduced starting dose is recommended in older adults due to higher systemic exposure as compared to younger adults.
Missed Dose
TABLETS (Revatio)/ORAL SUSPENSION (Revatio) 1 to less than 18 years: Weight 20 kg or less: 10 mg orally 3 times a day Weight greater than 20 kg to 45 kg: 20 mg orally 3 times a day Weight greater than 45 kg: 20 mg orally 3 times a day; dose may be titrated up to a maximum of 40 mg orally 3 times a day, if required, based on symptoms and tolerability Use: For the treatment of pulmonary arterial hypertension (WHO Group I) to improve exercise ability and, in pediatric patients too young to perform standard exercise testing, pulmonary hemodynamics thought to underlie improvements in exercise ERECTILE DYSFUNCTION: Mild to Moderate Renal Dysfunction (CrCl 30 to 80 mL/min): No adjustment recommended Severe Renal Dysfunction (CrCl less than 30 mL/min): Consider a starting dose of 25 mg orally once a day, about 1 hour prior to sexual activity Mild, Moderate, or Severe Renal Dysfunction (CrCl 80 to less than 30 mL/min): No adjustment recommended ERECTILE DYSFUNCTION: Mild, Moderate, or Severe Liver Dysfunction (Child-Pugh A, B, or C): Consider a starting dose of 25 mg orally once a day, about 1 hour prior to sexual activity. Mild or Moderate Liver Dysfunction (Child-Pugh A or B): No adjustment recommended Severe Liver Dysfunction (Child-Pugh C): Data not available in this population. Initiate treatment with 25 mg orally once a day, as needed, about 1 hour prior to sexual activity Patients should be stable on alpha blocker therapy prior initiating treatment with this drug. Administration with CYP450 3A4 Inhibitors (e.g., ketoconazole, itraconazole, saquinavir) or Erythromycin: Consider a starting dose of 25 orally once a day, as needed, about 1 hour prior to sexual activity. Recommended dose: 25 mg orally, as needed, about 1 hour prior to sexual activity Maximum dose: 25 mg orally within a 48 hour period Known hypersensitivity to either the active component or to any of the ingredients; hypersensitivity reactions have been reported, including rash and urticaria In patients who are using a guanylate cyclase (GC) stimulators, such as riociguat; phosphodiesterase type 5 inhibitors (PDE5), including this drug, may potentiate the hypotensive effects of GC stimulators. It is not recommended to take this drug more than once a day. This medication can cause your blood pressure to unsafely drop suddenly if it is taken with certain other medicines. Stop sexual activity and seek medical attention if you experience symptoms such as chest pain, dizziness, or nausea during sex, or if you have any side effect that bothers you or does not go away. Use protective measures to guard against sexually transmitted diseases, including the Human Immunodeficiency Virus (HIV). The primary ingredient of Viagra is Sildenafil.
7. Interactions
Cardiovascular: Cardiac status/risk factors (prior to initiation); blood pressure (periodically during treatment in patients with PAH on concomitant anti-hypertensive agents) Drug Interactions: For concomitant use of medications that may be contraindicated or for dose adjustment (at baseline and during treatment) Ocular: NAION risk factors (prior to initiation) Read the US FDA-approved patient labeling (Patient Information and/or Instructions for Use). Tell your healthcare provider about all of the medicines you (or your child take). Regular and/or intermittent use of nitric oxide donors (e.g., organic nitrates or nitrites) in any form Other PDE5 inhibitors or products containing sildenafil Seek immediate medical attention in the event of: Sudden loss of vision in one or both eyes Sudden decrease or loss of hearing; may be accompanied by tinnitus and dizziness An erection that persists longer than 4 hours. It is not recommended to take this drug more than once a day. This medication can cause your blood pressure to unsafely drop suddenly if it is taken with certain other medicines.
How is sildenafil supplied (dosage forms)?
Stop sexual activity and seek medical attention if you experience symptoms such as chest pain, dizziness, or nausea during sex, or if you have any side effect that bothers you or does not go away. Use protective measures to guard against sexually transmitted diseases, including the Human Immunodeficiency Virus (HIV). The primary ingredient of Viagra is Sildenafil. It’s a medicine that belongs to a group of drugs known as phosphodiesterase type 5 inhibitors, or PDE5 for short. These medicines, which includes Sildenafil help men who suffer erectile dysfunction get and maintain an sildenafil citrate drug erection suitable for sex. It’s a medicine that belongs to a group of drugs known as phosphodiesterase type 5 inhibitors, or PDE5 for short. These medicines, which includes Sildenafil help men who suffer erectile dysfunction get and maintain an sildenafil citrate drug erection suitable for sex. They work by opening the blood vessels in the penis, the increased blood flow helps maintain an erection. Viagra is licenced exclusively for the treatment of male erectile dysfunction and can be used in adults over 18 years old. This product should not be used by women. There is no upper age limit for Sildenafil but physical limitations and a patient’s medical health will play a part in deciding whether sex, which can be strenuous cardiovascular exercise is appropriate or suitable. Viagra should be used when sex is anticipated. It should ideally be taken 30-60 minutes before sex on an empty stomach or after a light meal.If this is the first time using Sildenafil 100mg, then we would recommend you start with Sildenafil 50mg tablets initially. If they are ineffective then try 100mg next time. Dose: One tablet when required 30-60 minutes before sex is anticipated.Maximum Dose: One tablet (100mg) daily.
| Aspect | Details | Notes |
|---|---|---|
| Generic Name | Sildenafil citrate | Active ingredient |
| Brand Names | Viagra, Kamagra, others | Marketed under various names |
| Tablet Strength | 25 mg | Dosage per tablet |
| Form | Oral tablet | Administration form |
| Manufacturer | Various pharmaceutical companies | Production sources |
Viagra 100mg tablets can be used safely every day, but we would recommend you consider alternative products like Tadalafil 5mg if this is the case.Duration of Action: approximately 4 hoursMaximum Supply: 64 tablets (8 boxes) Active Ingredient: Each tablet contains Sildenafil 100mg.Inactive ingredients: these vary between brands, for further information please speak with our pharmacist. This medicine is not suitable for patients who: Take medicines containing nitrates including, Nicorandil as this could reduce your blood pressure to a dangerous level.Are using any drugs known as nitric oxide donors, such as amyl nitrate which often used recreationally.Are allergic to sildenafil or any other ingredients listed in the patient information leaflet.Suffer from severe heart or liver problems.Have recently had a stroke or heart attackHave a rare inherited eye disease called retinitis pigmentosaHave ever suffered a loss of vision due to non-arteritic ischaemic optic neuropathy.Have suffered priapism (prolonged painful erection) or suffer from anatomical deformations of the penis, for example, Peyronie’s disease and Cavernosal Fibrosis.Viagra tablets should be used with caution in patients who suffer from low blood pressure. Most patients who use Viagra 100mg tablets will not experience any side effects, but some of the very common (more than 1 in 10) and common (less than 1 in 100) include: This list is not exhaustive and for less common side effects please refer to the patient information leaflet.
What is erectile dysfunction (ED)?
They work by opening the blood vessels in the penis, the increased blood flow helps maintain an erection. Viagra is licenced exclusively for the treatment of male erectile dysfunction and can be used in adults over 18 years old. This product should not be used by women. There is no upper age limit for Sildenafil but physical limitations and a patient’s medical health will play a part in deciding whether sex, which can be strenuous cardiovascular exercise is appropriate or suitable. Viagra should be used when sex is anticipated.
What should I do if I miss a dose of sildenafil?
It should ideally be taken 30-60 minutes before sex on an empty stomach or after a light meal.If this is the first time using Sildenafil 100mg, then we would recommend you start with Sildenafil 50mg tablets initially. If they are ineffective then try 100mg next time. Dose: One tablet when required 30-60 minutes before sex is anticipated.Maximum Dose: One tablet (100mg) daily. Viagra 100mg tablets can be used safely every day, but we would recommend you consider alternative products like Tadalafil 5mg if this is the case.Duration of Action: approximately 4 hoursMaximum Supply: 64 tablets (8 boxes) Active Ingredient: Each tablet contains Sildenafil 100mg.Inactive ingredients: these vary between brands, for further information please speak with our pharmacist. This medicine is not suitable for patients who: Take medicines containing nitrates including, Nicorandil as this could reduce your blood pressure to a dangerous level.Are using any drugs known as nitric oxide donors, such as amyl nitrate which often used recreationally.Are allergic to sildenafil or any other ingredients listed in the patient information leaflet.Suffer from severe heart or liver problems.Have recently had a stroke or heart attackHave a rare inherited eye disease called retinitis pigmentosaHave ever suffered a loss of vision due to non-arteritic ischaemic optic neuropathy.Have suffered priapism (prolonged painful erection) or suffer from anatomical deformations of the penis, for example, Peyronie’s disease and Cavernosal Fibrosis.Viagra tablets should be used with caution in patients who suffer from low blood pressure. At Travelpharm we offer FREE delivery on most orders over £35, we aim to provide the best price and service at all times.
